HIv Behavioral Surveillance

描述（由申请人提供）：补充计划申请的目的是扩大芝加哥国家艾滋病毒行为监测（NHBS）的范围，以包括对13至17岁男男性行为者（YMSM）的监测，作为由芝加哥公共卫生部STI/艾滋病毒司运营和维护的持续监测系统的一个组成部分。 这一行为监测系统将确定艾滋病毒危险行为的流行和趋势，并在这一群体的YMSM中，衡量艾滋病毒感染的流行。 来自该系统的信息将用于制定和促进对国家和地方艾滋病毒预防服务和方案的评估。 这一宣布提供了一个机会，利用现有的能力在NHBS在芝加哥。 自2003年以来，芝加哥NHBS已经成功地从非卫生保健社区环境中招募了高危人群，使用科学合理的方法来维持一个持续的系统，用于全市范围的行为和艾滋病毒感染监测。 在芝加哥，2009年被诊断感染艾滋病毒的男男性行为者中有47%的人年龄在13岁至29岁之间。自2000年以来，19岁以下的男男性行为者在所有男男性行为者艾滋病毒诊断中所占比例从2%上升到7%。 （芝加哥公共卫生部。2011年性传播感染/艾滋病毒监测报告。芝加哥，IL：芝加哥市; 2011年11月。）诸如此类的数据表明，有必要在年轻的YMSM人群中增加预防和研究活动。 虽然NHBS系统已经在芝加哥建立和运行，以监测18岁以上男男性行为者的行为趋势，但这一补充项目提供了将13至17岁的YMSM包括在内的机会。 该项目的目标将在芝加哥通过对13-17岁的YMSM进行形成性研究、基于社区的调查和艾滋病毒检测来实现。 此外，还将评估13-17岁YMSM的危险行为和艾滋病毒感染率。 还将衡量艾滋病毒预防方案的获得和利用情况。 该项目将是芝加哥公共卫生部与当地艾滋病预防组织、社区组织和学术机构之间的正式合作。 将采用多种方法进行抽样. 总共将从芝加哥招募600名合格的YMSM。 公共卫生相关性：这一拟议的行为监测系统将确定艾滋病毒危险行为的流行和趋势，并在这一群体的YMSM，衡量艾滋病毒感染的流行。 监测使人们处于艾滋病毒感染风险的行为是综合监测系统的一个关键要素，具体而言，行为数据对于设计和评估针对艾滋病毒感染高危群体的预防干预措施至关重要。

DESCRIPTION (provided by applicant): The purpose of the supplemental program application is to increase the scope of National HIV Behavioral Surveillance (NHBS) in Chicago to include surveillance of young men between 13 and 17 years of age who have sex with men (YMSM) as a component within an on- going surveillance system operated and maintained by the Chicago Department of Public Health STI/HIV Division. This behavioral surveillance system will ascertain the prevalence of and trends in HIV risk behaviors and among this group of YMSM, and measure the prevalence of HIV infection. Information from the system will be used to develop and contribute to the evaluation of national and local HIV prevention services and programs. This announcement provides an opportunity to capitalize on existing capacity in NHBS in Chicago. Since 2003, Chicago NHBS has been successful at recruiting at-risk individuals from non-health care community settings using scientifically sound methodologies to maintain an ongoing system for citywide surveillance of behaviors and HIV infection. In Chicago, 47% of MSM diagnosed with HIV in 2009 were between 13 and 29 years old. Since 2000, MSM less than 19 years of age have gone from 2% of all MSM HIV diagnoses to 7% of all MSM HIV diagnoses. (Chicago Department of Public Health. STI/HIV Surveillance Report, 2011. Chicago, IL: City of Chicago; November, 2011.) Data such as this show the need to increase prevention and research activities among the young YMSM population. While the NHBS system is already set up and operating in Chicago to monitor behavioral trends among MSM over the age of 18, this supplemental project offers the opportunity to include YMSM between 13 and 17 years of age. The objectives of this project will be achieved in Chicago by conducting formative research, community-based surveys, and HIV testing among YMSM ages 13-17. In addition, risk behaviors and HIV prevalence among YMSM ages 13-17 will be assessed. Access to and utilization of HIV prevention programs also will be measured. This project will be a formal collaboration between the Chicago Department of Public Health and local HIV prevention organizations, community-based organizations (CBOs), and academic institutions. A multi- method approach to sampling will be implemented. In total, 600 eligible YMSM will be recruited from Chicago. PUBLIC HEALTH RELEVANCE: This proposed behavioral surveillance system will ascertain the prevalence of and trends in HIV risk behaviors and among this group of YMSM, and measure the prevalence of HIV infection. Monitoring behaviors that place people at risk for HIV infection is a key element of an integrated surveillance system and behavioral data, specifically, are essential for designing and evaluating prevention interventions for groups at high risk for acquiring HIV infection.